Design: Video presentation

Setting: Tertiary academic center

Patients or Participants: Selected patients with gynecologic malignancies undergoing laparoscopic staging/debulking.

Interventions: Laparoscopic omentectomy

Measurements and Main Results: The five steps to laparoscopic omentectomy include 1- re-arranging surgeons position for operating in the upper abdomen, 2- identifying the momentum at the hepatic flexure, 3- dividing the omentum while the assistant tents up the more distal portion, 4- repositioning the distal free end caudally to expose the splenic flexure attachment, 5- dividing the connection to the splenic flexure.

Conclusion: There has been an increased role for minimally invasive debulking and staging for selected patients with gynecologic malignancies e.g early stage ovarian cancer and those who have clinically complete response to neoadjuvent chemotherapy. Developing techniques to complete these surgeries minimally invasively improve patient outcomes by reducing operative time and avoiding more invasive approaches.